Videotape Order Form

To order a copy of Perspectives, Never Give Up! and/or the 
TBI Inservice Training Module
please print this form, fill in the necessary shipping and order information then mail completed form along with your payment to: 

Attn: Janet Tyler, Ph.D.
Mail Stop 3055
The University of Kansas Medical Center
3901 Rainbow Blvd.
Kansas City, KS 66160

Please make checks payable to:  Dept. of Special Education  


Note: We cannot accept credit cards.  All checks must be payable in U.S. dollars. 


Price List

The price list below reflects the cost of materials plus shipping & handling.  Delivery within the Cont'l U.S. generally takes between 5-7 business days; Delivery outside the U.S. can take up to 4-6 weeks. 

 Destination

 Videotape

 Module 

 Cont'l U.S.  $12.50 ea.

 $30.00 ea.

 Alaska/Hawaii

 $14.00 ea.

 $33.00 ea.

 Canada

 $15.00 ea.

 $35.00 ea. 

 International  $17.00 ea.

 $45.00 ea.

Name, shipping address & phone number  (Please print)

Order Information

 Item

Qty

Cost Per Item

 Subtotal

 Perspectives Videotape      
 Never Give Up! Videotape      
 TBI Inservice Training
 Module
     

 

 Total

 


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